Polymyalgia rheumatica (PMR) and exacerbated pulmonary fibrosis presen
ted concurrently in a 69-year-old woman with a 5-year history of idiop
athic interstitial pneumonia. The radiographic and histological examin
ations suggested usual interstitial pneumonia (UIP) as a more likely d
iagnosis. Corticosteroid therapy resulted in relief of the patient's m
uscle symptoms and improvement in the functional and radiographical si
gns of the pulmonary fibrosis. The final diagnosis was pulmonary fibro
sis associated with PMR, because PMR is believed to be one of the caus
es contributing to interstitial lung diseases.